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11/12/2002 23:51
Gary Evansnot registered
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11/12/2002 23:51
Gary Evansnot registered
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Recurrence
Eddie,
Can you read this website? Is it good information? Anything relevant for the forum?
http://www.sicm.it/news/corradi.pdf
Thanks,
Gary
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11/13/2002 23:20
Eddie 
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11/13/2002 23:20
Eddie
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Recurrence
Gary,
Sorry, but my italian is too basic to understand all that medical mumbo-jumbo. I am not sure I understand it in any language anyway :)
Some basic remarks :
- Italian study <> what with nordic ancestry ?
- recurrence said to be higher when one has surgery at early age, but that is no news
- same things, ancestry/epilepsy/alcohol/smoking always seem to come back. Is this all real, or do the authors just copy from each other ?
- sample size is rather small. As a (retired) engineer I am not unfamiliar with the use of statistics, and I am rather skeptical about the value of an investigation with such a small sample.
I feel I have read enough about DC for a while, I don't want to add to my confusion. But, if you want to add to yours, maybe you'd like to read a dissertation on DC from the university of Uppsala (definitely nordic!) at http://publications.uu.se/theses/fulltext/91-554-5262-0.pdf
Btw, I have tried a couple of times of getting dr Moermans email addy, but without success. Now. a fellow DC patient told me he heard dr Moermans is deceased (???).
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11/13/2002 23:12
Gary Evansnot registered
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11/13/2002 23:12
Gary Evansnot registered
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Recurrence
Eddie,
I agree that many of the surveys/studies use the same wording as previous material. I haven't decided whether it is laziness or that they are arriving at the same conclusions.
Have you had anymore of those DC group sessions? I wish they were available here. I would really like to ask some specific questions. I know one surgeon posed the question to me of "why would anyone go to Europe to have NA when they could have a fasciotomy here in the U.S.". That got me thinking and I had no reasonable answer for him. Do you have different insight on that question? I know you have talked, perhaps, of having NA next. He said the function is exactly the same and there is no trauma to the tissue, just greater and more often recurrence. I guess as we have discussed previously, for some, that might be better.
Thanks for trying Moermans. I think he is/was a very credible authority on DC procedures. I wish the Belgian Hand Group was more accessible, also. I'll check out the website you mentioned, thanks (perhaps).
Kim Clijsters is representing your country well. What a competitor!
Gary
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11/13/2002 23:40
Gary Evansnot registered
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11/13/2002 23:40
Gary Evansnot registered
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Recurrence
Eddie,
Thank you for the website. I think it is very good information. Good diagrams. The conclusion that, "Now , almost 170 years later, although there is much better understanding of DC, surgical excision of the diseased fascia still remains the best treatment available.", seems consistent with most studies.
Also, very good bibliography.
Thank you,
Gary
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